EDGAR JOSEPH MASSABNI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135848

License Status

INACTIVE

Business

Title

First Name

EDGAR

Middle

JOSEPH

Last Name

MASSABNI

Business Name

EDGAR JOSEPH MASSABNI MD

Original Issue Date

07/08/2014

Effective Date

08/03/2020

Expiration Date

07/31/2023

City

GREEN BAY

State

Zip

54313

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/31/2023